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COVID-19

Chlamydia Screening in Women (CHL) – HEDIS Measure

Answer the questions to confirm eligibility and compliance criteria, this is applicable to Medicaid and Commercial members only.

Is the member* 16-24 years of age during the measurement year AND identified as sexually active during the measurement year, as determined by ONE of the following:

  1. Pharmacy data for dispensed contraceptive – Refer to Table 1
  2. Claim/encounter for pregnancy test *Applicable to Commercial and Medicaid members
Table 1: Prescriptions to Identify Contraceptives
Contraceptives
  • Desogestrel-ethinyl estradiol
  • Dienogest-estradiol multiphasic
  • Drospirenone-ethinyl estradiol
  • Drospirenone-ethinyl estradiol-levomefolate biphasic
  • Ethinyl estradiol-ethynodiol
  • Ethinyl estradiol-etonogestrel
  • Ethinyl estradiol-levonorgestrel
  • Ethinyl estradiol-norelgestromin
  • Ethinyl estradiol-norethindrone
  • Ethinyl estradiol-norgestimate
  • Ethinyl estradiol-norgestrel
  • Etonogestrel
  • Levonorgestrel
  • Medroxyprogesterone
  • Mestranol-norethindrone
  • Norethindrone
Diaphragm
  • Diaphragm
Spermicide
  • Nonxynol 9

Did the member receive at least one chlamydia screening test during the measurement year?

Member does not meet compliance for this measure

Billing Codes

  • CPT 87110 87270 87320 87490 87491 87492 87810

    LOINC 14463-4 14464-2 14467-5 14474-1 14513-6 16600-9 21190-4 21191-2 21613-5 23838-6 31775-0 31777-6 36902-5 36903-3 42931-6 43304-5 43404-3 43405-0 43406-8 44806-8 44807-6 45068-4 45069-2 45075-9 45076-7 45084-1 45091-6 45095-7 45098-1 45100-5 47211-8 47212-6 49096-1 4993-2 50387-0 53925-4 53926-2 557-9 560-3 6349-5 6354-5 6355-2 6356-0 6357-8 80360-1 80361-9 80362-7 91860-7

    SNOMED CT US Edition  104175002 104281002 104282009 104290009 117775008 121956002 121957006 121958001 121959009 122173003 122254005 122321005 122322003 134256004 134289004 171120003 285586000 310861008 310862001 315087006 315094009 315095005 315099004 390784004 390785003 395195000 398452009 399193003 407707008 442487003 707982002

Member meets compliance for this measure.